NATHAN DANA WAVLE - Medical Doctor License in Indiana | # 036153672

NATHAN DANA WAVLE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153672

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Middle

DANA

Last Name

WAVLE

Business Name

NATHAN DANA WAVLE

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

07/31/2023

State

IN

Ever Disciplined

N

LastModifiedDate

11/30/2023